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Reasons to Choose TESE Centres in Mumbai

Male infertility can be caused by a condition known as non-obstructive azoospermia or by obstructive azoospermia. Non-obstructive azoospermia is a state where there are no sperms in the ejaculate due to reduced sperm production whereas obstructive azoospermia is a condition where there is normal sperm production but the passage of sperms is blocked by the obstruction in Epididymis, Vas deferens or Ejaculatory duct. TESE centres in Mumbai are able to treat these conditions by extracting sperm cells directly from the testicles. The treatment is performed efficiently with a team of doctors, counselors and infertility specialists who diagnose and analyze sperm concentration and health. If the sperm count and concentration are low in ejaculation, the andrologists may perform Testicular Sperm Extraction (TESE). TESE Centres in Mumbai are able to provide the best services and perform the extraction of the healthiest sperms cells to help male infertility patients successfully conceive a child.

Testicular Sperm Extraction (TESE)

TESE is a method of surgically removing the sperms from men suffering from Non-Obstructive Azoospermia (NOA) or low sperm count. A surgeon performs a surgery on the testicles to locate seminiferous tubules structures where sperm is produced. In micro-TESE, the same method is followed under an operating microscope. In this procedure, a small part of the testicle tissue is removed from the area of active sperm production using advanced instruments and high-grade microscope. This maximizes the yield of spermatozoa while minimizing the amount of testicular tissue required and reducing vascular injury. TESE centres in Mumbai practice this procedure using advanced devices to ensure the best semen sample is collected.

TESE Procedure

During the procedure, a surgeon makes a very small incision of about three to four centimeters in the midline of the scrotum. The patient is kept under general anesthesia while the surgeon opens the testicle through an incision and look under a high power-operating microscope for seminiferous tubules that could be swollen and have sperms. An andrologist is also present in the operating room who analyzes seminiferous tubules for sperm.

The next step is to take tissue samples from one side of seminiferous tubules. Sometimes, the procedure is also repeated on the other seminiferous tubules to ensure high-quality sample. These tubules are then processed in the laboratory and checked for the presence of sperms, which are either used immediately in the following treatment to fertilize eggs or are frozen for later use. In case of excessive bleeding, the bleeding is first stopped and the testis is closed with fine stitching.

All the layers of tissues in the scrotum are closed and left to heal. In TESE centres in Mumbai, the opening is stitched with a thread that dissolves on its own so there is little or no scarring. In order to determine the presence of sperms in the tissue sample, an embryologist takes the sample and examines it under a microscope.

Who Needs TESE Treatment?

In TESE centres in Mumbai, the treatment is recommended to male infertility patients who have a low sperm count or no sperm in the ejaculate. Low sperm count during ejaculation may be due to several reasons:

Defective sperm production

Blockage in sperm channels

Congenital absence of the sperm channels

Exposure to drugs and radiation during cancer treatment

Hormonal factors

When previous surgical sperm retrieval techniques are unsuccessful

Injections after mumps

Lack of vas deferens

Genetic defects, environmental factors or infections

Late treatment of undescended testicle

Right Time for TESE Procedure

If there are no findings in the genetics of the patient a test is performed to determine to examine the hormonal situation. The strategy of the surgical tissue sampling is based on the medical history and current hormonal situation. Follicle-Stimulating Hormone (FSH), secreted from the pituitary gland, and inhibin B, produced in the testicles, are particularly important to find out sperm production. If the levels of both hormones are within the normal range, tissue samples can be taken from the testicle. However, if there are deviations or imbalance in the hormones, several biopsies are performed, before the TESE procedure.

Chances of Obtaining Sperm Cells Using TESE

TESE is a treatment that has very high odds of success as viable sperm cells are obtained in about 75 percent of cases. However, the likelihood of success is mostly determined by the cause of infertility and the lack of sperms in the ejaculate. Various examinations are performed on the patient allowing the doctors to predict the odds of success for TESE.

Before TESE Treatment

In TESE treatment centres in Mumbai, patients are required to consult a urologist or andrologist who specialize in male infertility. A consultant examines and conducts appropriate tests, such as hormone analysis, chromosome analyses, and virology screening. On mutual consent, the TESE treatment program is decided and surgery is conducted.

Before the surgery, the patient is required to take a bath and clean shave the operational area. The patient is also not allowed to eat or drink for six hours before the operation. The doctor suggests wearing loose trousers on the day of surgery as the pressure on the testicles can cause pain after the operation.

Things to remember on the day of the procedure:

Take your medications in the morning as instructed by the doctor. Take only a few sips of water.

Do not put on any lotions, creams, powders, deodorant, makeup, or cologne as it increases the chances of infection.

Bring medication if you have breathing problems

Treatment in TESE Centres in Mumbai

Micro TESE is an effective method for sperm retrieval from men with non-obstructive azoospermia. In TESE centres in Mumbai, the treatment begins with a dose of general anesthesia to put the patient to sleep during the procedure. The surgeon performs microdissection of testicular tubules to identify sperm containing areas before removal. This involves direct examination of individual seminiferous tubules. In TESE centres in Mumbai, the ability to find spermatozoa is considerably high after the introduction of the microTESE technique. The procedure is more effective and improves the chances of retrieving healthy sperms. The treatment either is done as a scheduled procedure or is coordinated with their female partner’s egg retrieval.

Here are some of the reasons to choose TESE Centres in Mumbai:

World-class medical services at low cost

Use of state-of-the-art medical devices and advanced techniques

Skilled and highly experienced embryologists and andrologists

Well-maintained facilities with excellent staff

Clinics and hospitals are situated at prime locations

Zero percent EMI Medical loans are provided in almost every centre.

Benefits of Microsurgical TESE Treatment

The procedure is painless, minimally invasive and performed through a small incision under anesthesia.

In microsurgical TESE, the probability of finding sperms is more than 60 percent, which is twice as compared to a non-microsurgical procedure.

This technique has a high sperm retrieval rate as compared to traditional biopsy techniques.

Embryologists can choose the best areas of sperm production using a microscope.

It is performed using a microscope to avoid damage to the testicular tissues and blood supply.

It has relatively less post-operative complications.

It provides higher chances of obtaining quality sperms and improves the chances of successful pregnancy.

After TESE Treatment

After the procedure is complete and the sperms are retrieved, one must follow these instructions for better health and recovery.

Patients can start taking liquid food within three hours after the operation

Patients experiencing high levels of pain can take pain-killers to subdue the pain

Patients should avoid sexual intercourse for a week or until the incision is healed

Patients are recommended to consult a physician in case of redness, swelling, bleeding at the operation site.

In TESE centres in Mumbai, the sutures used are self-dissolving so do not require any suture removal.

Patients can begin their normal routine after two weeks of treatment.

Taking Care of Scrotum

The treatment may lead to infections in the scrotum therefore proper care is needed.

Apply cold packs against your bandage for 48 hours

Take good rest for complete three days

Use the scrotal support for one week after the procedure

Apply extra gauze inside the scrotal support for four days after the procedure.

Sit on a soft surface or pillow for some days.

Duration of the TESE Surgery

TESE surgery is generally performed during the day and the patient is allowed to go home on the same day of the operation. In some cases, TESE procedure is performed on the day of the egg retrieval and the fresh sample is used for ICSI. Most of the times, the suitable sperms are frozen and stored for use during IVF or ICSI.

Treatments after TESE Procedure

The tissue samples retrieved using TESE treatment, are immediately prepared, processed and examined by the andrologists. If viable sperm cells are found, they are generally cryopreserved for treatments in the future. The sperms obtained from TESE procedure are low and incapable of fertilizing the eggs with IUI (Intrauterine Insemination) or regular IVF treatments; therefore the women’s oocytes are usually fertilized using an Intracytoplasmic Sperm Injection (ICSI).

Pain in TESE Treatment procedure

TESE treatment is a painless procedure performed under general anesthesia; therefore, the patient does not need to worry about it. However, after the procedure, the patient might feel some discomfort. The incision can take about a week to heal so taking precautions as recommended by the doctor is necessary.

Success Rate of TESE in Fertilization

The ability to find spermatozoa in sperm tissues tremendously increases from 45 to 63 percent after introduction of the micro incision technique. In an average male with non-obstructive azoospermia, only 64,000 spermatozoa are found in standard biopsy whereas microdissected samples yield an average of 160,000 spermatozoa, which has more potential of fertilizing an egg.

TESE centres in Mumbai are reliable and efficient in every case of infertility. The chances of finding viable sperms with TESE are better than 60 percent in Mumbai. Various tests on the patient are conducted such as hormone analyses and genetic tests prior to the procedure, which allows predicting the odds of success for the TESE as well as a pregnancy.

After TESE, patients usually go for IVF or ICSI treatment for higher chances of fertilization and ultimately pregnancy.

Reasons for Growth of TESE Treatment Centres in Mumbai

Non-obstructive azoospermia is diagnosed in approximately 10 percent of infertile men in the city

Increase in international patients and medical tourists

Huge competition between medical industries in Mumbai

Cost of TESE Treatment

It depends on the tests and medications required during the procedure. Also, TESE treatment is not a final solution for infertility as a number of treatments such as IVF and ICSI must be performed following the treatment. TESE also requires freezing of semen samples in case the fresh sample fails to fertilize the eggs. This requires additional cost that adds on to the TESE treatment fees. The cost of Micro-TESE is more than regular TESE as it involves the use of high-powered microscope during the treatment.

Find Best TESE Centres in Mumbai

Infertility patients face no problem in finding TESE centres in Mumbai but finding the best TESE centre can be difficult due to the competitive market. There are many consultancies and healthcare agencies that promise to provide the best hospitals but fail to provide satisfactory recommendations. At Elawoman, patients can find the best TESE hospitals and doctors in Mumbai from a pre-defined list of reliable centres. We are associated with certified doctors, which are reliable in their service and treatment. We recommend TESE centres in Mumbai, which are affiliated under various medical standards and have huge experience in the treatment of infertility patients.

Moreover, Elawoman also provides consultancy services and guides patients through the course of the treatment. Zero percent EMI medical loans are also provided to patients with a poor financial background. We also maintain a digital record of all treatment and tests conducted on our patients for future reference. Call us at +91-7899912611 to book the free appointment.

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